Entity Name: | GENERIC DEPOT 2, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 29 May 1997 (28 years ago) |
Document Number: | P97000047630 |
FEI/EIN Number | 650759704 |
Address: | 14510 SW 21 St, DAVIE, FL, 33325, US |
Mail Address: | 14510 SW 21 St, DAVIE, FL, 33325, US |
ZIP code: | 33325 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1710183355 | 2007-06-21 | 2020-08-22 | 1461 N PALM AVE, PEMBROKE PINES, FL, 330263228, US | 1461 N PALM AVE, PEMBROKE PINES, FL, 330263228, US | |||||||||||||||||||||||||||
|
Phone | +1 954-442-4429 |
Fax | 9544424442 |
Authorized person
Name | MR. STEPHEN M SCHWARTZ |
Role | PRESIDENT |
Phone | 9544424429 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | Yes |
Other Provider Identifiers
Issuer | PERSONAL |
Number | 1932195229 |
State | FL |
Issuer | STORE |
Number | 1063634814 |
State | FL |
Name | Role | Address |
---|---|---|
SCHWARTZ STEPHEN | Agent | 14510 SW 21 St, DAVIE, FL, 33325 |
Name | Role | Address |
---|---|---|
SCHWARTZ STEPHEN | President | 14510 S.W. 21ST STREET, DAVIE, FL, 33325 |
Name | Role | Address |
---|---|---|
SCHWARTZ STEPHEN | Treasurer | 14510 S.W. 21ST STREET, DAVIE, FL, 33325 |
Name | Role | Address |
---|---|---|
SCHWARTZ STEPHEN | Secretary | 14510 S.W. 21ST STREET, DAVIE, FL, 33325 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G14000094616 | CONSUMERS SAVING CENTER PHARMACY | ACTIVE | 2014-09-16 | 2029-12-31 | No data | 14510 SW 21 ST, DAVIE, FL, 33325 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2019-10-14 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
REINSTATEMENT | 2017-03-08 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
CANCEL ADM DISS/REV | 2010-01-28 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State